Key result
Endovascular treatment using an aortic stent-graft and the kissing stents technique successfully excluded an isolated abdominal aortic dissection, maintaining excellent vessel patency at 12 months.
Why the study?
Does endovascular treatment with the kissing stents technique improve vessel patency in a patient with infrarenal isolated abdominal aortic dissection?
Case Report (n=1)
No
Does endovascular treatment with the kissing stents technique improve vessel patency in a patient with infrarenal isolated abdominal aortic dissection?
Endovascular therapy using the kissing stents technique appears to be a feasible and effective treatment option for infrarenal isolated abdominal aortic dissection.
Endovascular stenting may relieve symptoms in symptomatic infrarenal IAAD with iliac extension; leaves open need for comparative data before broader adoption.
Isolated abdominal aortic dissection (IAAD) is a rare form of aortic dissection involving usually the infrarenal part of the abdominal aorta. A 45-year-old male presented with lumbar pain and claudication. Computed tomography angiography (CTA) revealed an infrarenal IAAD extending to the left external iliac artery (EIA), causing ≥90% narrowing of the lumen. An endovascular approach was decided, with deployment of an aortic stent-graft and two balloon expandable stents in both common iliac arteries (IAs), applying the kissing stents technique. Post-surgical course was uneventful; 12 month follow-up showed excellent vessel patency. Endovascular therapy seems to be a feasible treatment option with promising long-term follow-up results.
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Sahsamanis et al. (2017) conducted a case report in Isolated abdominal aortic dissection (IAAD) (n=1). Endovascular treatment with kissing stents technique was evaluated on Vessel patency and symptom resolution. Endovascular treatment using an aortic stent-graft and the kissing stents technique successfully excluded an isolated abdominal aortic dissection, maintaining excellent vessel patency at 12 months.
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